8/7/2019 Filing a Life Insurance Claim

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Filing a Life Insurance Claim

Claim settlement is one of the most important services that an insurance company can provide toits customers. Insurance companies have an obligation to settle claims promptly. You will needto fill a claim form and contact the financial advisor from whom you bought your policy. Submitall relevant documents such as original death certificate and policy bond to your insurer tosupport your claim. Most claims are settled by issuing a cheque within 7 days from the time theyreceive the documents. However, if your insurer is unable to deal with all or any part of your claim, you will be notified in writing.

Types of claims

Maturity Claim - On the date of maturity life insured is required to send maturity claim /discharge form andoriginal policy bond well before maturity date to enable timely settlement. Mostcompanies offer/issue post dated cheques and/ or make payment through ECS credit onthe maturity date.Incase of delay in settlement kindly refer to grievance redressal.

Death Claim (including rider claim) - In case of death claim or rider claim the followingprocedure should be followed.

Follow these four simple steps to file a claim:

1. Claim intimation/notificationThe claimant must submit the written intimation as soon as possible to enable theinsurance company to initiate the claim processing. The claim intimation shouldconsist of basic information such as policy number, name of the insured, date of death, cause of death, place of death, name of the claimant.The claimant can also get a claim intimation/notification form from the nearest

local branch office of the insurance company or their insurance advisor/agent.Alternatively, some insurance companies also provide the facility of downloadingthe form from their website.

2. Documents required for claim processingThe claimant will be required to provide a claimant's statement, original policydocument, death certificate, police FIR and post mortem exam report (for accidental death), certificate and records from the treating doctor/hospital (for deathdue to illness) and advance discharge form for claim processing. Based on the sumat risk, cause of death and policy duration, insurance companies may also requestsome additional documents.|

3. Submission of required documents for claim processingFor faster claim processing, it is essential that the claimant submits completedocumentation as early as possible. A life insurer will not be able to take a decisionuntil all the requirements are complete. Once all relevant documents, records andforms have been submitted, the life insurer can take a decision about the claim.

4. Settlement of claimAs per the regulation 8 of the IRDA (Policy holder's Interest) Regulations, 2002,

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the insurer is required to settle a claim within 30 days of receipt of all documentsincluding clarification sought by the insurer. However, the insurance company canset a practice of settling the claim even earlier. If the claim requires further investigation, the insurer has to complete its procedures within six months fromreceiving the written intimation of claim.

Claim intimation In case a claim arises you should: Contact the respective life insurance branch office.Contact your insurance advisor Call the respective Customer Helpline

Claim requirementsFor Death Claim:

Death CertificateOriginal Policy BondClaim Forms issued by the insurer along with supporting documents

For Accidental Disability / Critical Illness Claim:Copies of Medical Records, Test Reports, Discharge Summary, Admission Records

of hospitals and Laboratories.Original Policy BondClaim Forms along with supporting documents

For Maturity Claims:Original Policy BondMaturity Claim Form

Incase of delay in settlement kindly refer to grievance redressal

om·buds·man ( m b dz m n, -b dz-, -b dz -)n.

1. A man who investigates complaints and mediates fair settlements, especially betweenaggrieved parties such as consumers or students and an institution or organization.2. A government official, especially in Scandinavian countries, who investigates citizens'complaints against the government or its functionaries.

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